Transplanting Hair Between Identical Twins

Hello Dr!

I just had a quick question. I have a NW 3 vertex balding pattern, but so does my identical twin. Would you ever consider transplanting hair from one twin to another? Not against his will of course! I can see an ethical delimma on the future situation of the twin donor if he ever changes his mind, so I was curious what you would do in this situation.

Yes, we have done this on one occasion. Twins have to be identical twins (exact same DNA) and not fraternal twins. If one wants to donate to another, it’s their choice and wishes. I would want to know both of the twins and understand the reason for transplanting from one to the other.

In a Norwood Class 3 pattern, there is really no need to take from one twin and move it to the other. The recipient area is easily covered with a single surgery in many patients and the use of finasteride will keep the hair loss from advancing in most cases. I understand, however, your desire to keep it in the family so set up an appointment with a good doctor to cover these issues in great detail.